Abstract
Coronary artery bypass graft surgery in patients with, immune thrombocytopenic purpura (ITP) refractory to preoperative medical therapy accompanies an increased risk of bleeding perioperatively. In the ITP patient without responding to intravenous immunoglobulin and corticosteroids, we performed combined off-pump coronary artery bypass grafting with splenectomy to minimize the risk of intraoperative bleeding and cardiac ischemia. Using platelets infusion, we successfully managed the patient without major bleeding and ischemic events.
| Original language | English |
|---|---|
| Pages (from-to) | 196-199 |
| Number of pages | 4 |
| Journal | Japanese Journal of Anesthesiology |
| Volume | 56 |
| Issue number | 2 |
| Publication status | Published - Feb 2007 |
| Externally published | Yes |
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Keywords
- Idiopathic thrombocytopenic purpura
- Off-pump coronary artery bypass graft surgery
- Splenectomy
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
The combined surgery of off-pump coronary bypass graft with splenectomy in a patient with refractory immune thrombocytopenic purpura. / Tani, Makiko; Takahashi, Yukio; Kobayashi, Osamu; Nakamura, Kyoichi; Oto, Hirotaka.
In: Japanese Journal of Anesthesiology, Vol. 56, No. 2, 02.2007, p. 196-199.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The combined surgery of off-pump coronary bypass graft with splenectomy in a patient with refractory immune thrombocytopenic purpura
AU - Tani, Makiko
AU - Takahashi, Yukio
AU - Kobayashi, Osamu
AU - Nakamura, Kyoichi
AU - Oto, Hirotaka
PY - 2007/2
Y1 - 2007/2
N2 - Coronary artery bypass graft surgery in patients with, immune thrombocytopenic purpura (ITP) refractory to preoperative medical therapy accompanies an increased risk of bleeding perioperatively. In the ITP patient without responding to intravenous immunoglobulin and corticosteroids, we performed combined off-pump coronary artery bypass grafting with splenectomy to minimize the risk of intraoperative bleeding and cardiac ischemia. Using platelets infusion, we successfully managed the patient without major bleeding and ischemic events.
AB - Coronary artery bypass graft surgery in patients with, immune thrombocytopenic purpura (ITP) refractory to preoperative medical therapy accompanies an increased risk of bleeding perioperatively. In the ITP patient without responding to intravenous immunoglobulin and corticosteroids, we performed combined off-pump coronary artery bypass grafting with splenectomy to minimize the risk of intraoperative bleeding and cardiac ischemia. Using platelets infusion, we successfully managed the patient without major bleeding and ischemic events.
KW - Idiopathic thrombocytopenic purpura
KW - Off-pump coronary artery bypass graft surgery
KW - Splenectomy
UR - http://www.scopus.com/inward/record.url?scp=33847033244&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33847033244&partnerID=8YFLogxK
M3 - Article
VL - 56
SP - 196
EP - 199
JO - Japanese Journal of Anesthesiology
JF - Japanese Journal of Anesthesiology
SN - 0021-4892
IS - 2
ER -